STEPHANIE K BAGWELL Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008961

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

BAGWELL

Business Name

STEPHANIE K BAGWELL

Original Issue Date

12/08/2014

Effective Date

09/01/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018